INTRODUCTION: Chylous ascites is an uncommon condition resulting from triglyceride-rich lymphatic fluid leakage into the peritoneal cavity and is typically diagnosed when the ascitic triglyceride level is ≥200 mg/dL. Small bowel volvulus is an uncommon surgical emergency, and its coexistence with chylous ascites is particularly rare. Postoperative adhesions are a common cause of small bowel volvulus; however, small bowel volvulus caused by adhesions presumed to be congenital in a virgin abdomen is infrequently reported. Herein, we report a case of small bowel volvulus associated with chylous ascites in which the adhesions were most consistent with congenital origin, although definitive differentiation was not possible.
Omameuda et al. (Thu,) studied this question.